Enhancing Health Coverage in Tribal Communities: Best Practices and Lessons Learned
Explore best practices and lessons learned in improving health coverage for Tribal communities, as advocated by the National Indian Health Board (NIHB). Discover the challenges faced and overcome by Tribal enrollment assisters, along with valuable outreach and education efforts to empower individuals in accessing essential healthcare services.
Enhancing Health Coverage in Tribal Communities: Best Practices and Lessons Learned
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BEST PRACTICES AND LESSONS BEST PRACTICES AND LESSONS LEARNED ON IMPROVING LEARNED ON IMPROVING HEALTH COVERAGE IN TRIBAL HEALTH COVERAGE IN TRIBAL COMMUNITIES COMMUNITIES
NIHB MISSION: ESTABLISHED BY THE TRIBES TO ADVOCATE AS THE UNITED VOICE OF FEDERALLY RECOGNIZED AMERICAN INDIAN AND ALASKA NATIVE TRIBES, NIHB SEEKS TO REINFORCE TRIBAL SOVEREIGNTY, STRENGTHEN TRIBAL HEALTH SYSTEMS, SECURE RESOURCES, AND BUILD CAPACITY TO THE HIGHEST LEVEL OF HEALTH AND WELL-BEING FOR OUR PEOPLE. Troubleshoot challenges for AI/AN individuals, Enrollment Assisters, and others encountered relating to Tribal health insurance access Conducts research; provides training, policy analysis, and one-on-one technical assistance for I/T/U staff Tribal Healthcare Reform Outreach and Education Policy Coordinator at NIHB is an indispensable role for Indian Country
CHALLENGES Mail delivery to P.O. boxes Access to technical assistance Staying up-to-date on the latest CMS announcements Understanding changes in health laws and flexibilities Complex application process Geographical issues: remote or isolated Lack of transportation Limited or no internet connection Working with state Medicaid agency Submission of supporting documents
LESSONS LEARNED Tribal enrollment assisters understand the unique enrollment requirements and application process for Tribal citizens Foster strong partnership with other enrollment assisters Build relationships with organizations in the community Outreach materials customized to fit Tribal communities Social media is a useful tool for outreach and educate Sharing health insurance enrollment experiences Understanding the Tribal community s culture, history, and traditions Communication is unique in Tribal communities
EXAMPLES OF OUTREACH AND EDUCATION EFFORTS PRINT ELECTRONIC VISUALS PERSONAL CONTACT Fact sheets Social Media Signage Meetings Brochures Websites Posters Community events Flyers Electronic News Banners Target audience Newsletters Emails Presentations Partner organization News releases Public Service Announcements Exhibit displays Word of Mouth Mail Bulletin Boards CHR/WIC Texting
NATIONAL NATIVE HARM REDUCTION SUMMIT ENROLLMENT IN THE U.S. AI/AN MARKETPLACE OPEN 66,016 57,699 52,971 50,899 47,748 42,378 35,588 2017 2018 2019 2020 2021 2022 2023
NATIONAL NATIVE HARM REDUCTION SUMMIT AI/AN UNINSURED RATES IN THE U.S.
NATIONAL NATIVE HARM REDUCTION SUMMIT DISENROLLED ESTIMATES: MINNESOTA MEDICAID UNWINDING AI/AN 7,962 6,621 5,339 4,763 Method 1 Method 2 Method 3 State-Reported
NATIONAL NATIVE HARM REDUCTION SUMMIT DISENROLLED ESTIMATES: OREGON MEDICAID UNWINDING AI/AN 9,239 5,851 3,890 3,704 Method 1 Method 2 Method 3 State-Reported
MEDICAID UNWINDING AI/AN NATIONAL NATIVE HARM REDUCTION SUMMIT DISENROLLED ESTIMATES: WISCONSIN 7,791 4,926 4,626 3,995 Method 1 Method 2 Method 3 State-Reported
NATIONAL NATIVE HARM REDUCTION SUMMIT DISENROLLED ESTIMATES: UNITED STATES MEDICAID UNWINDING AI/AN 522,237 381,075 Method 1 Method 2
NIHB STORY BOARDS
SEASON 2 IN 2024: THE HOPE & HEALING PODCAST Six Episode Series (Season 1): 1. Introduction | Kristen Bitsuie 2. Medicaid 101 | Angie Wilson 3. Medicare 101 | Adam Archuleta 4. Marketplace 101 |Yvonne Myers 5. Health Equity | Jim Roberts 6. Emerging Hot Topics | Melissa Gower & Winn Davis
AHEHEE (THANK YOU) Kristen Bitsuie Tribal Health Care Outreach and Education Policy Coordinator kbitsuie@nihb.org Visit Our Website: https://www.nihb.org/
